| Oregon City Family Dentistry | |
|
602 Monroe St Oregon City OR 97045-2337 | |
| (503) 656-8250 | |
| Not Available |
| Full Name | Oregon City Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 602 Monroe St, Oregon City, Oregon |
| Authorized Official Name and Position | Annalisa Taylor Smith (PRESIDENT) |
| Authorized Official Contact | 5036568250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oregon City Family Dentistry 602 Monroe St Oregon City OR 97045-2337 Ph: (503) 656-8250 | Oregon City Family Dentistry 602 Monroe St Oregon City OR 97045-2337 Ph: (503) 656-8250 |
| NPI Number | 1174816474 |
|---|---|
| Provider Enumeration Date | 05/18/2011 |
| Last Update Date | 05/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174816474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D9360 (Oregon) | Primary |
| 1223G0001X | Dentist - General Practice | D9328 (Oregon) | Secondary |
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